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NPI Code Detail

MEDICARE: COREY PAULSON MA NCC LPC

MEDICARE:   COREY  PAULSON  MA NCC LPC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YP2500XProfessional Counselor67749TX

General Provider Information

NPI Number : 1427479419
Entity Type Code : Individual
Provider Name (Legal Business Name) : COREY PAULSON MA NCC LPC
Provider Business Mailing Address
First Line : 1010 STONECREST DR
Second Line :
City : HOUSTON
State : TX
Zip : 77018-7524
Country : US
Telephone Number : 281-624-6904
Fax Number :
Provider Business Practice Location Address
First Line : 1010 STONECREST DR
Second Line :
City : HOUSTON
State : TX
Zip : 77018-7524
Country : US
Telephone Number : 281-624-6904
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/18/2013
Last Update Date : 12/01/2020

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Directions to “ COREY PAULSON MA NCC LPC” Practice Location

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